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WO1992012490A1 - Procede et appareil de suivi d'un regime et du poids par des techniques de modification du comportement humain - Google Patents

Procede et appareil de suivi d'un regime et du poids par des techniques de modification du comportement humain Download PDF

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Publication number
WO1992012490A1
WO1992012490A1 PCT/US1992/000330 US9200330W WO9212490A1 WO 1992012490 A1 WO1992012490 A1 WO 1992012490A1 US 9200330 W US9200330 W US 9200330W WO 9212490 A1 WO9212490 A1 WO 9212490A1
Authority
WO
WIPO (PCT)
Prior art keywords
behavior
user
computer
feedback
dietary
Prior art date
Application number
PCT/US1992/000330
Other languages
English (en)
Inventor
Philip S. Abrams
Al Behar
Orna Behar
Scott A. Brenneman
Lee W. Frederiksen
Nicholas C. Ide
Albert Jerome
Donald A. Link
Dennis J. Linnell
Marilyn J. Pritchard
Hyam Singer
Gerald J. Swisher
Catherine T. Timmerman
Original Assignee
Health Innovations, Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Health Innovations, Inc. filed Critical Health Innovations, Inc.
Publication of WO1992012490A1 publication Critical patent/WO1992012490A1/fr

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Classifications

    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; COUNTING
    • G06F—ELECTRIC DIGITAL DATA PROCESSING
    • G06F15/00—Digital computers in general; Data processing equipment in general
    • G06F15/02—Digital computers in general; Data processing equipment in general manually operated with input through keyboard and computation using a built-in program, e.g. pocket calculators
    • G06F15/025—Digital computers in general; Data processing equipment in general manually operated with input through keyboard and computation using a built-in program, e.g. pocket calculators adapted to a specific application
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/30—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/60—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to nutrition control, e.g. diets
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S128/00—Surgery
    • Y10S128/92—Computer assisted medical diagnostics
    • Y10S128/921—Diet management

Definitions

  • This invention is generally directed to a micro-computer apparatus and method for human behavior modification and control.
  • the currently preferred embodiment employs an interactive goal-oriented program especially suited for helping an individual control his weight.
  • the invention can be suited to modify other behaviors, as will be appreciated.
  • weight control programs and devices There are many weight control programs and devices. These programs vary from the fad and crash diets to structured nutritional programs that employ trained health professionals to set up individual weight-loss programs and monitor the individual's progress. Similarly, weight loss devices vary from appetite suppression diet pills to computer programs that set up nutritional diets.
  • the fad diets tend to. at hpst, offer short-term weight loss.
  • Structured nutritional programs offer healthy diets, weight goals and encouragement to achieve long-term weight loss, if the individual is willing to regularly attend a diet clinic or hospital program.
  • Many of the clinics require the purchase of specialty foods. Diet pills, like crash diets, provide short-term weight loss without any assurance of a healthy diet.
  • Computer programs are useful in selecting nutritional diets and counting food calories, but are cumbersome to use and do not provide the goals and encouragement provided by a diet clinic or hospital program.
  • Counting the consumption of food calories is a common function of many weight control devices and programs. Existing electronic devices count food calories and perform additional functions.
  • the Krames device calculates the total nutritional and caloric values for the foods anticipated to be eaten each day. These total values are compared to caloric limits entered into the computer and selected by the user.
  • Krames discloses an enhanced calorie counter.
  • Krames does not disclose a device for automatically establishing a dietary goal-oriented program to achieve a desired weight, or providing prompts at mealtimes or feedback about the dieter's progress.
  • Nutri-Byte is a "behavior awareness program", rather than the managed diet and exercise program of the present invention that encourages healthy behaviors and helps the user to establish weight control habits.
  • the Nutri-Byte program does not estab1. sh and monitor a weight control program.
  • An example of a device for modifying human behavior is disclosed in commonly assigned U.S. Patent No. 4,853,854 entitled “Human Behavior Modification Which Establishes And Generates A User Adaptive Withdrawal Schedule” and issued to Albert Behar et al. in 1989.
  • the Behar patent discloses a microprocessor device that applies behavior modification techniques to overcome habitual or addictive behaviors such as smoking.
  • This device is programmable to create an individualized withdrawal schedule for the smoker and incorporates dietary strictures to aid the withdrawal program.
  • This device has been found to be very effective to stop habitual behaviors such as smoking.
  • the object of a weight control program is not to stop eating but rather to train the user to eat and exercise sensibly.
  • U.S. Patent No. 4,571,682 entitled “System And Method For Skill Enhancement And Behavior Modification” issued to Silverman et al. in 1986 discloses a group of computers that employ behavior modification techniques to improve sport skills.
  • the Silverman computer monitors several physiological parameters of the athlete, analyzes these parameters to measure the athlete's performance, compares the actual performance to a desired performance and displays the athlete's actual performance and how it differs from the desired skill level. The athlete can adjust his performance to reduce this difference and improve his skill.
  • Silverman does not disclose any weight control program. Since weight control has few similarities to learning sports skills, skill enhancement devices, such as disclosed in Silverman, are not suitable for weight control.
  • a portable diet software program is described in a research study entitled "Ambulatory Computer- Assisted Therapy For Obesity: A New Frontier For Behavior Therapy” conducted by Kent Burnett el al. and reported in the Journal of Consulting and Clinical Psychology, Vol. 53, No. 5 (1985) and in "Developing Computer-Assisted Therapy for the Treatment of Obesity,” conducted by Agras et al. and reported in Behavior Therapy, Vol. 21, pp. 99-109 (1990).
  • the Burnett study involved a computer program that records a dieter's food consumption and exercise activity, counts calories consumed as a percentage of daily caloric limit, and displays the available remaining calories for the day.
  • the Burnett software program was loaded in a portable laptop computer that the research subjects carried with them each day. In addition to recording food consumption and exercise activity and calculating caloric consumption, and the software program issued encouraging messages to the dieters regarding their diet and exercise progress.
  • the computer program described in the Burnett study does not appear to have automatically established weight goals for the users, prompted the users when to eat and exercise, offered suggestions regarding diet selection, provided weekly reports regarding weight loss progress or monitored weight. Rather, the Burnett program seems to have been limited to monitoring caloric intake and expenditure, and providing feedback to the user. By controlling the caloric intake of the user, the user of the Burnett program lost weight.
  • the present invention in its preferred embodiment, is a hand-held micro-computer weight control device that generates visual and audio prompts to signify times to eat, drink water and exercise, and prescribes what to eat and in what quantities and duration of exercise.
  • the device also assists the user in setting safe goals regarding the individual's desired weight loss and the rate at which to achieve the desired weight loss based on personal information provided by the individual.
  • the user follows meal and exercise programs suggested by the device, and ues the device to record his food consumption, exercise activity, and weight loss progress.
  • the devi e displays feedback information to the user to encourage, motivate, and support the user towards achieving the desired weight. Feedback is provided immediately upon recording food consumption, water and exercise, at the end of each day and weekly.
  • the computer tracks and displays on demand the history of the weight loss efforts.
  • This hand-held computer provides a complete weight control program that is effective in achieving the desired weight and maintaining it, simple to use and portable.
  • the method of the present invention is a weight control program implemented in a hand-held microcomputer.
  • the program combines recent research findings in the areas of nutrition science, behavioral psychology, and exercise physiology for a comprehensive, scientifically sound approach to weight control.
  • the present inventive method is based on the best available scientific knowledge about weight loss and weight control, combined with the benefits of advanced computer technology.
  • the program offers a healthy and effective approach to weight loss.
  • the menus also follow the guidelines of the National Research Council's Committee on Diet and Health recommendations regarding cholesterol, fiber, and decreased protein and increased carbohydrates (NRC, 1989a) .
  • the menus were also developed with guidelines that were based on the NRC's latest edition of Recommended Dietary Allowances (NRC, 1989b).
  • the present invention provides a safe, flexible exercise program tailored to the abilities and needs of a wide range of users.
  • the program follows the basic guidelines for exercise outlined by the American College of Sports Medicine (ACSM) (ACSM, 1986, 1990).
  • the program prescribes exercise involving large muscle groups, practiced at moderate intensity 3 to 5 times per week for 20 to 60 minutes.
  • the preferred embodiment of the inventive program prompts users to exercise 3 times per week and provides exercise duration targets based on the user's current levels of activity.
  • the exercise protocol begins with minimal target exercise minutes and gradually shapes users to increase their exercise, while always remaining within the guidelines set by ACSM.
  • the preferred embodiment of the present invention incorporates behavior modification procedures such as stimulus control, prompting, shaping, goal setting, and feedback.
  • Stimulus control and prompting are used to encourage regular habits of eating three meals per day at consistent times and exercising three times per week. For example, an icon on the computer screen lights up, a tone sounds, and a written prompt appears to signal the individual when it is time to eat.
  • the user is "shaped" to greater levels of exercise by providing gradually increasing targets for caloric expenditure per exercise session.
  • Goal setting both short-term and long-term, is initiated by allowing individuals to set their own weight loss targets. Users select a long-term target weight and the computer generates a short-term weight loss goal that can be reached in si o ig e s. The user can adjust the rate of which they prefer to lose weight by adjusting their short-term goal within a range determined to be safe by the invention.
  • performance-based feedback is provided by the computer immediately following behaviors, at the end of the day, each morning, and at the end of each week. Feedback is geared toward increasing program compliance and is sensitive to the history of behavior. For example, the first occurrence of a behavior is treated differently from an ongoing pattern.
  • the present invention adjusts caloric levels on the basis of changes in weight until the rate of weight loss is optimized in the range of 1-2 lbs. per week, depending on the weight of the individual.
  • the invention is a computerized program, precision, flexibility and immediacy in weight monitoring and caloric adjustment can be achieved where they are not possible with traditional programs.
  • the present invention can automatically provide a program tailored specifically to each user that monitors and adjusts dynamically for changes in weight and behavior during program use.
  • the preferred embodiment of the program provides for weight maintenance automatically. During maintenance, daily caloric levels are adjusted to stabilize weight, and the program continues to reinforce those eating and exercise behaviors that led to weight loss and that can now be used for weight control. Should the user be unable to maintain his goal weight, the invention will automatically recommend that he set a new goal.
  • the preferred embodiment can be used strictly to maintain an existing weight and, thus, is not restricted to weight loss.
  • the invention in another contemplated embodiment can set up and monitor dietary programs to reduce cholesterol levels, and to control diabetes, stress, hypertension and other health conditions.
  • One of the inventive program's unique aspects is that it is "personalized" for each individual.
  • the computer tailors each weight-loss program to the user's sex, age, height, weight, weight loss goals, exercise preferences, and usual mealtimes.
  • the program monitors caloric intake at each meal and adjusts subsequent meals during the day to account for overeating or under eating. Caloric and exercise targets are adjusted weekly on the basis of user compliance with the program and multi-week trends in weight.
  • a user's weight control program is personalized in order to provide an optimal program.
  • Another aspect of the personalization of the present invention is that it caters to individual lifestyles by including a wide range of menu types. For example, menus of foods that are quick and easy to prepare can be displayed by the computer. Conversely, the computer can display menus that are more elaborate when more preparation time is available. A selection of commercially available frozen foods is included to round out the at-home menus. In addition, a host of restaurant menus can be included in the computer memory to provide choices ranging from fast food to a variety of ethnic cuisines. When chosen with reasonable variety, the meals prescribed by the invention adhere to the nutritional guidelines discussed above,
  • the exercise protocol caters to diverse lifestyles by including a wide range of activities such as walking, swimming, cycling, aerobics, and tennis.
  • the individualized exercise prescriptions are based on a user's baseline level of exercise and degree of adherence to the program and are adjusted as required.
  • the invention has additional features which offer both convenience to the user as well as support of weight-loss behavior. They include the ability to plan meals, create shopping lists and view graphs of progress.
  • the hand-held computer of the present invention is designed to be simple to use -- especially by those with no previous experience with computers.
  • the computer has only nine buttons and operation involves simply moving a highlighted cursor from place to place on the screen to indicate choices and the use of "Yes" and "No" buttons to answer questions.
  • the screen includes both a text area as well as a set of graphic symbols that are used in prompting behavior.
  • the computer has an extensive on-line help system that can be invoked by the press of a single "Help" button.
  • the help system is designed to provide immediate assistance for the most likely problems that users might be experiencing at any given point in the program.
  • the hand-held weight control device of the preferred embodiment is a computerized self-management program that is highly interactive. It is meant to be carried throughout the day to assist the user with important behaviors such as selecting when and what to eat, when and how much to exercise, and when to drink water.
  • the device is both proactive and responsive to user actions. It initiates actions through a real-time prompting system, cueing users when to engage in various behaviors. Users, in turn, respond by recording what they do; and the device responds further by providing various types of feedback and adjusting caloric intake prescriptions and exercise targets dynamically in response to user behaviors and changes in weight.
  • the interactive real-time processing that characterizes the hand-held device of the preferred embodiment makes it unique among behavior change and management methodologies.
  • the weight control device achieves a level and degree of interaction and immediate responsiveness to user actions and changes in weight that are not possible with traditional clinic-based or therapist-guided treatments, nor with self-management programs delivered via traditional formats, e.g., printed material, audio cassettes, or videocassettes.
  • the purpose of the weight control computer is to allow users to establish a structured, consistent routine for enhancing compliance with diet programs and for achieving long-term weight change and maintenance.
  • the weight control computer establishes specific goals for a wide range of individual behaviors, prompts users to engage in certain behaviors at appropriate times, provides feedback regarding the user's performance, and alters the program based on the user's compliance and success.
  • FIGURE 1 is a plan view showing the display and controls of the hand-held computer in the preferred embodiment of the present invention
  • FIGURE 2 is a side view of the hand-held computer shown in FIGURE 1 in which the lid is shown as being folded over for use as a base for the computer;
  • FIGURE 3 is a simplified block diagram of the microprocessors and other electronic components that comprise the hand-held computer shown in FIGURE 1;
  • FIGURE 4 is a general block diagram of the software routines that are executed by the hand-held computer shown in FIGURE 1;
  • FIGURE 5 is a more detailed block diagram of the Behavioral Management Executive software routine shown in FIGURE 4.
  • FIGURE 6 is a flowchart for the Behavioral program Generator and Manager routine
  • FIGURE 7 is a flowchart for the Behavioral Guidance and Safeguards routine
  • FIGURE 8 is a flowchart for the Behavioral Adaptation routine
  • FIGURE 9 is a chart showing the matrix of categories for feedback messages
  • FIGURE 10 is a flowchart for the Behavior Analyzer routine
  • FIGURE 11 is a flowchart for the Behavior Scheduler routine
  • FIGURE 12 is a flowchart for the Personalization routine
  • FIGURE 13 is a flowchart for the validation function routine
  • FIGURE 14 is a flowchart for the Time Manager routine
  • FIGURE 15 is a flowchart for the Behavior Monitoring routine
  • FIGURE 16 is a flowchart for the Goal Setting routine.
  • FIGURES 17 through 65 is a series of exemplary screen displays showing the operation of the preferred embodiment.
  • FIGURE 1 shows the face 1 of the hand-held weight control computer 2 of the preferred embodiment.
  • a display 3 and a series of buttons on the face of the computer.
  • the display is large enough to be read easily by a user.
  • the computer is small enough so as be a hand-held device. It fits easily into a large purse or into a suit breast pocket.
  • the buttons on the face of the computer are arranged to be easily reached by the thumbs and other fingers of the user when the comDuter is held in a user's hands. Surrounding the display are nine control buttons.
  • buttons 9 that turns the computer on and off
  • a volume button 10 that adjusts the volume of the audio prompts and responses
  • a button pair 11 that provide for yes and no responses by the user
  • a button pair 15 that move the cursor bar 13 up or down in the display
  • a Go On button 16 that completes a transaction and causes the display to show a following informational screen
  • a Go Back button 18 that terminates a transaction and causes the display to show the preceding informational screen
  • a help button 17 that produces a display of instructional text to assist in using the computer. Since there are only nine buttons, the computer is extremely user friendly even to the most inexperienced computer user.
  • the weight control computer is slim and compact.
  • a lid 40 that covers the display face 1 in a closed position. Magnets 41 on the face of the computer hold the lid closed by being attracted to metal pads (not shown) on the inner surface of the lid.
  • the lid folds underneath the computer and slides into a lip 42 in the bottom of the computer.
  • the lid and hinge in the open position form a base for the computer that tilts the display face towards the user when the computer is placed on a flat surface, such as a table.
  • a folding plastic hinge 44 secures the lid to the computer. This hinge is described in detail in the related application Serial No. 07/ entitled "Hinge And Stand for Hand-Held Computer Unit” and incorporated by reference above.
  • the display 3 comprises a liquid crystal screen that is segregated into a prompt area 5, and a text and graphics area 7.
  • icons that can be displayed in the prompt area, in the preferred embodiment. These icons prompt the user to eat or not, drink water, exercise and weigh himself.
  • the icons are shown on the display when the user is to perform the activity represented by the icon. For example, an icon of a runner becomes visible when it is time to exercise. The icons remain visible until the user records the activity into the computer or until the preferred period of time for the activity elapses. In the case of eating, a two and one-half hour period is set within which to eat each meal. Thus, the eating icon is displayed for two and one-half hours or until the user eats in response to the icon. When it is not time to eat, a "don't eat" icon appears in place of eat icon.
  • the prompt area 5 also includes a display of the time and date.
  • the computer provides other prompts to the user. Appropriate activities are also prompted by an audio alarm and a textual display, such as "Breakfast time now! By following the prompts, the user develops a structured routine of eating meals at consistent times, exercising three times per week, weighing daily, and drinking water at re ⁇ ular intervals throu ⁇ hout the dav.
  • the text and graphics area 7 of the display is used to present the user with various selections, e.g., types of restaurants and menus; encouraging messages, e.g., "It's good to eat breakfast”; feedback regarding progress, e.g., "You have lost 6 lbs. in three weeks”; and graphics charts of progress.
  • the text area of the screen is used to prompt the user to enter personalization information and to record meals, exercises and weights. Indeed, the text area, combined with the icons, is the principal communication channel from the device to the user.
  • FIGURE 3 is a block diagram of the computer and display in the weight loss computer.
  • a four-bit microcontroller 100 which in the preferred embodiment is an NEC ⁇ PD75304, is always active and monitors and controls most of the other electronic components.
  • the microcontroller uses its own internal program and data storage areas that provide it with 4k bytes of ROM and 512 bytes of RAM.
  • the 4-bit microcontroller monitors the battery power for the computer.
  • a set of main batteries 102 provides power for the computer through V . , connections to various other components. All of the block components shown in FIGURE 3 receive voltage v., with the exception of the key matrix 121, the display 114, the subsystem clock 120, and the lithium battery 118.
  • a main battery pre-senr.p- detector 104 signals the 4-bit microcontroller over line 106 that a set of batteries is in the main battery compartment. This presence detector indirectly senses that the main batteries are physically in the battery compartment by initially sensing the voltage level V,,. The detector's threshold is approximately 3.5 V n beau, below which it is inferred that the main batteries are absent.
  • the computer Until the presence detector signals the existence of main batteries, the computer will not operate except in a lithium battery mode described later.
  • the voltage level of the battery is detected by the battery level detector 108 that sends a signal to the 4-bit microcontroller representative of the voltage level of the main batteries.
  • the 4-bit microcontroller scans the keys of the key matrix 121 over bus 122.
  • the 4-bit controller closes the switch 124 to ground to cause power to be provided to all components.
  • the 4-bit controller enables the main battery presence detector 104 to ensure that batteries 102 are installed and enables the battery level detector 108 to ensure that the voltage is sufficiently high to allow operation.
  • a watch-dog timer 123 regularly confirms that the 4-bit microcontroller is operating properly.
  • the watch-dog timer is a pulse generator that must be periodically cleared or it will reset the controller.
  • the microcontroller is programmed to repeatedly clear the timer. If the microcontroller does not clear the timer within a prescribed time, then the watch-dog timer will reset the microcontroller. Generally, the microcontroller will operate properly after being reset.
  • the 4-bit controller also adjusts the contrast in the display 114. Messages regarding the contrast are sent over bus 126 to a negative voltage generator 128. In response to this message, the negative voltage generator sets the voltage level of V, , that is fed to the display controller 130. The display controller sets the contrast level in the display as will be discussed below. There are sixteen contrast levels that can be selected by the user.
  • the 4-bit microcontroller controls an 8-bit microprocessor 132 that is either a NEC ⁇ PD70108HGC or an OKI MSM80C88A, in the preferred embodiment.
  • the 8-bit processor has an associated address latch that is not shown.
  • a main clock generator 116 provides pulsed signals to the microcontroller 100, processor 132 and the display controller 130 so that the processor and controllers can communicate with each other.
  • the 8-bit processor receives a clock pulse train of 3.2768 MHz
  • the 4-bit controller receives a pulse train at one-half of that rate (1.6384 MHz)
  • the display controller receives a quarter rate clock pulse at 819.2KHZ.
  • the 8-bit processor rims the programs, that interact with the user. For example, the 8-bit processor runs the program that allows the user to enter personal information that is used by the computer to tailor a weight control program to that individual. Other programs, discussed below, present menus on the display, establish goals for the user, record a user's food consumption and exercise, provide informative feedback messages on the user's behavior, prepare progress reports and charts for the user and a variety of other functions,
  • the programs for the 8-bit processor are embedded in ROM 160, which, in the preferred embodiment, has 2M bits of capacity arranged as 256K bytes.
  • the personalization information entered by the user and the meals, weight and exercise information recorded by the user are stored in the RAM 134.
  • the RAM has a 256K bit capacity arranged as 32K bytes.
  • the processor accesses these memories via a combined address and data bus 136.
  • the program and data storage areas for the 4-bit microcontroller are internal to that device.
  • the interface latch 138 couples the 4-bit microcontroller to the bus 136.
  • the latch is a 74HC174 latch.
  • the interface unit allows data transfer between the 4-bit controller and the 8-bit processor.
  • the 8-bit nrocfi-.R-.r initiates any data transfer over bus 148 and thus serves as a master processor to the 4-bit controller for data transfer.
  • the 8-bit processor via the interface unit, also operates a piezo-electric speaker 140 that emits tones and plays tunes when the user is to eat or perform other behaviors as well as responding to user inputs.
  • An address decode logic unit 142 decodes the addresses put on the bus 136 by the 8-bit processor.
  • the address decoder comprises a standard set of components, such as 74HC04, 74HC10, 74HC74, 2N3904. Depending on the address, the address decoder issues select signals to the ROM or RAM, the display controller, or the interface logic unit.
  • An M/IO line 154 selects between memory and input/output addressing in the 8-bit processor's address map. In the I/O space of this address map is located the addresses for the interface for the 4-bit microcontroller and the display controller. To select the display controller, the address decoder enables the display select line 143.
  • the processor enables latch 138 via the I/F select line 137.
  • RAM enable signal operated by the 4-bit controller that protects RAM data. This RAM enable signal allows or disallows the RAM to receive the chip select signal from the address decoder. When the RAM is disallowed from recieving chip select signals, e.g., by the on/off switch activating switch 125, the RAM will no act on any extraneous pulse signals generated by the address decoder.
  • display controller 130 is selected, then display information is read from or written to the display controller by the 8-bit processor over bus 136.
  • the control lines 144 for the read and write functions convey read RD and write WR signals from the processor to the address decoder and the display controller.
  • the display controller controls the text area of the display 114 through a standard dot matrix driver program. Text to be presented on the display is provided by the 8-bit processor to the display via the display controller.
  • the display controller is coupled to bus 136 that allows for data transfers between the display controller and the 8-bit processor.
  • the 8-bit processor When the user is between key strokes and the 8-bit processor is not needed, the 8-bit processor instructs the 4-bit microcontroller to maintain the 8-bit processor in a powered but halted mode with the main clock stopped. Similarly, the 8-bit . processor instructs the microcontroller to turn off power to the processor when the user turns off the unit or after a few minutes of no events or activity on the key matrix (timeout). If a key is pressed or a preprogrammed event occures, e.g., a meal time, the 8-bit processor is revived when the 4-bit controller starts the clock for the processor and resets the 8-bit processor.
  • the 4-bit controller conveys information, such as any pending events, and key presses, to the 8-bit processor via bus 148, interface 138 and bus 136. If the 8-bit processor and display are on and processing of the most recent event is complete, then the 8-bit processor will set a wake-up timer in the 4-bit controller, request that the controller issue a clock freeze signal, and go into a halt mode. The 4-bit controller then sends a freeze signal over line 117 to the main clock to the 8-bit processor, but the main clock and the display controller continue to maintain the display.
  • the 4-bit controller verifies that sufficient voltage exists, unfreezes the main clock and resets the 8-bit processor. Assuming that there was no event and the wake-up time signaled, the 8-bit processor clears the display, does any housekeeping tasks that are needed, requests a power down, and goes into its halt mode again. If it is time for an event, the 8-bit processor will process the event that is to occur.
  • the 4-bit controller In time-out or power-down, the 4-bit controller removes power to all circuits except itself and some support circuitry.
  • the 4-bit controller runs off of the subsystem clock 120 and only updates its own timers and slowly scans the key matrix 121.
  • the 4-bit controller turns the 8-bit processor back on only if a key is pressed, or a preprogrammed event (e.g., next meal) occurs.
  • the 8-bit processor power-down sequence is followed as described above, and the 4-bit controller turns off the icon section of the display, and itself goes into a halt mode.
  • the user turns the unit back on by pressing the ON/OFF key again.
  • the ON/OFF key is tied to the interrupt line of the 4-bit controller, which wakes up and then brings up the 8-bit processor in the fashion described above.
  • FIGURE 4 shows a block diagram of the software routines that operate within the preferred embodiment of the weight control computer.
  • a Behavioral Management Executive (BMEX) routine 500 interacts with users to help them achieve a particular behavioral goal or goals, such as weight and/or diet control.
  • BMEX is a collection of several significant software routines used to implement the weight/exercise management program. The purpose of the BMEX is to assist the user both to lose and maintain weight and to develop new behaviors that will help him maintain a healthy weight long-term.
  • the BMEX receives information about the user's personal characteristics (e.g., sex, age, weight); behavior (e.g., eating habits, exercise habits), and desired weight goal (e.g., lose 20 pounds in 5 months, or maintain current weight within 5 pounds).
  • a modified BMEX could be used to implement other goals for desired behavior such as to reduce risk of heart attack, control chronic headaches, to control food intake for persons with dietary restrictions such as diabetes, or persons suffering from heart disease or hypertension and/or improve a user's time management.
  • the BMEX receives the information on personal characteristics and desired goals in several ways.
  • Information about the user is gathered through a Personalization routine 600 that prompts the user to key in information about age, sex, and other personal characteristics. It is contemplated that user information could be fed into the BMEX directly from an electronic scale, pedometer, a heartbeat counter, a blood testing instrument, a urine analyzer and many other medical instruments that monitor the human body.
  • Personalization information is stored in a User Database 700 kept in RAM 134.
  • data regarding the overall environment (such as the time and date and user personal identification number) are stored in an Environment Database 1900 also kept in RAM 134.
  • a Behavior Monitoring routine 800 Direct observation of user behavior is obtained from a Behavior Monitoring routine 800 through which the user regularly enters information regarding his behavior. The user is reminded when to perform the various behaviors by the Behavior Prompting routine 1200.
  • the information entered through the behavior monitoring routine is used to form a baseline of the user's behavior. With the baseline, the BMEX tailors the behavior program to the user's habits, e.g., time and length of exercise, and -"ire erences ⁇ .cr. favorite meals on certain ⁇ s of the week. Behavior information recorded later in the program is used to monitor the extent to which the user adheres to the program and reaches his desired goals.
  • the collected information is stored in the User Database 700.
  • the User Database stores detailed behavioral information for the most recent 15-day period, e.g., specific menus chosen by the user, calories eaten, exercises performed. Weekly summary information, e.g, total calories eaten, weight, total exercise calories, are stored for two years in the User Database. These data are used for analysis and feedback to the user and can also be extracted for use in longer-term research.
  • Behavioral goals are established through a Goal Setting routine 900 that can either automatically set goals for the user or allow the user to interact with the computer to select his individualized goals. The goals can be revised by the user at any time.
  • a personalized Behavior Management Program is developed by the Behavioral Program Generator and Manager (BPGM) routine 510 within the BMEX and shown in FIGURE 5.
  • BPGM Behavioral Program Generator and Manager
  • the personalized Behavior Management Program tells the user when to engage in various behaviors via the Behavior Scheduler routine 525.
  • the scheduler prompts the user through icons, verbal messages, and audio signals at the proper times to eat, drink, exercise, and weigh himself.
  • Other prompts could be used such as a vibration that could be given to the user to silently advise him to perform the desired behavior or synthesized speech could be used for the same purpose.
  • the BMEX routine 500 using the Behavioral Program Generator and Manager also recommends specific aspects of scheduled (and unscheduled) behavior via a Behavioral Recommendations routine 1000 which presents to the user recommended behaviors such as menus for meals to be eaten, and type and duration of exercise to be done. These recommendations are based on the behavioral goals and other data obtained from the User Database and a Subject Matter Database 1100 stored in ROM 160.
  • the Behavior Prompting routine selects appropriate messages and/or an icon from the Subject Matter Database 1100 to be displayed to the user.
  • the Behavior Prompting routine is instructed as to what activity is to be prompted by the Behavior Scheduler routine and then looks up the appropriate category in the Subject Matter Database for that activity. Once the appropriate message category is selected, then a message within that category is chosen (randomly or otherwise) and displayed to the user. The random selection of messages ensures that the user is presented with slightly different messages for the same activity and, thus, guards against monotony while offering the appearance of intelligent behavior by the computer.
  • the user keys in his actual behavior by interacting with the Behavior Monitoring routine 800, which records the behavior in the User Database for historical analysis as well as input to the Behavior Analyzer 560. The recorded actual activity is compared to the recommended behavior by the Behavior Analyzer routine 560. When necessary, changes to the behavioral program are made by a Behavioral Adaptation routine 575 to account for the degree of user adherence and success at meeting behavioral goals and subgoals.
  • the user receives positive or negative feedback concerning his behavior.
  • the feedback text messages are displayed in the text area 7 of the display and the messages are generated by the Behavior Feedback routine 1300.
  • Behavior feedback i ⁇ originated by the Behavior Analyzer 560.
  • the Behavior Analyzer provides regular feedback each morning and evening, immediately following recording of each behavior, and once a week. Morning feedback concentrates on those behavioral areas in which the user has been exhibiting problems or in which a change in behavior patterns is recognized.
  • the morning feedback i presented as a series of short messages designed to provide guidance to the user during the coming day. Typical morning messages might be "Don't forget to eat breakfast,” “Be sure to exercise today,” or “Eat more low-fat foods today. "
  • Morning feedback is prepared at the beginning of each day and is presented to the user as soon as the device is turned on or upon the user performing the first action of the day, if the device was left on all night.
  • morning messages are also stored in the User Database 700.
  • the user can request these messages again through Progress Reporting 1400. This is done by the user selecting the Bulletin Board option from the main menu.
  • the messages are modified in two significant ways. First, if a prescribed behavior has already been recorded via the Behavior Monitoring routine 800, the associated message is not repeated. In the example above, once the user eats breakfast, the Bulletin Board will no longer contain a reminder to eat breakfast. Second, as discussed above, the actual text of a message may vary because of the random selection from the appropriate category of messages. For example, the message regarding exercise might be repeated as "Exercising today is important! in contrast to the first message of "Be sure to exercise today.”
  • Evening feedback is treated similarly. Evening feedback is created at the end of each day. generally an hour after dinner. It is intended to provide a summary of the day's activities, with both positive and negative feedback. Evening feedback considers the day's activities in the context of the activities of the past two weeks. As with morning feedback, the evening summary focuses on problems or changing behaviors. Evening feedback messages are more extensive than morning messages as they review the day just completed and look to the future. When the evening messages are prepared, the prompt "Bulletin Board Ready" appears on the display accompanied by an audio cue. The user must select the Bulletin Board option to review evening feedback messages. The user may read the Bulletin Board, in which the evening messages replace the morning messages. The evening messages remain until the messages for the next morning are presented. The evening messages are modified dynamically in the same way as the morning feedback.
  • Weekly reviews are prepared every seven days. These are presented at the same time as each seventh day's evening messages.
  • the weekly feedback is more analytic and reflective than daily feedback. It is designed to offer the user a periodic overview of his progress, and encouragement or caution in an interpretive context regarding the user's behavior.
  • a typical weekly review might be:
  • the Progress Reporting routine 1400 provides quantitative feedback about measurable information such as weight, calories eaten, and exercise calories expended. These data are presented both as tables and as graphs showing long-term trends.
  • the Behavioral Guidance and Safeguards routine accesses the Subject Matter Database 1100 to retrieve information regarding dietary guidelines, safe exercise limits, healthy maximum weight losses and other such information.
  • a Time Manager routine 1600 provides information regarding the current time (date, time-of-day, day-of-week, elapsed time, and the user's concept of the beginning of a new day). .
  • the Time Manager supports many of the other routines that require knowledge of the current time.
  • interaction with the user is managed by the User Interface routine 1700, which makes optimum use of the available Input/Output devices 1800, e.g., display screen and a nine button keyboard.
  • the BMEX uses the above-mentioned routines as required to help the user achieve his own behavioral goal or goals, as well as developing new behavior that will contribute to his abi 1 i tv tn sustain desired results long-term.
  • Many of these routines are well-known in the prior art. For example, there are many commercially available routines that set up databases for microprocessor controlled devices or generate messages regarding the date and time. Depending upon the microprocessor controller being used, a person of ordinary skill will be able to set up these routines with no more instruction than provided above. However, for the sake of completeness, further descriptions of many of the routines are given below.
  • the Behavioral Program Generator and Manager (BPGM) 510 generates an initial Behavior Management Program based on user data and goals, as well as associated built-in behavioral goals.
  • the BPGM also coordinates all other system routines as required to meet these goals.
  • the main purpose of the BPGM is to help the user select healthy and attainable behavioral goals, and to achieve those goals in.an appropriate time frame.
  • the BPGM assists the user to develop new ' behaviors that will contribute to long-term maintenance of goals.
  • the BPGM begins a program by soliciting the user's input of his personal characteristics and needs, by calling Personalization 600.
  • the BPGM then continues by helping the user establish appropriate goals (e.g., to lose 15 pounds in 10 weeks) by calling up the Goal Setting routine 900.
  • the Goal Setting routine invokes the Behavioral Guidance and Safeguards routine 545 that indicates appropriate goals and rates of behavior change (e.g., medically sound goal weight range, and safe rates of weight loss).
  • the Goal Setting routine and the BPGM may each add several additional goals that are related to achieving the user's goals and maintaining the desired results long-term (e.g., eating 3 balanced meals each day, regular exercise, reducing snacking, keeping fat intake under 30% of total calories).
  • the BPGM accesses the Subject Matter Database 1100 and the User Database 700 to determine appropriate behavioral recommendations to support goal achievement (e.g., the daily caloric consumption for the user to lose 1.5 pounds per week, and when the user should eat each meal of the day) .
  • goal achievement e.g., the daily caloric consumption for the user to lose 1.5 pounds per week, and when the user should eat each meal of the day.
  • the BPGM presents to the user screens and audio prompts that tell him when to engage in certain behaviors (e.g., when to eat breakfast, when to exercise), and recommend specific aspects of those behaviors (e.g., meal choices at the appropriate caloric level, duration of exercise) .
  • the BPGM adjusts its Behavior Management Program based on actual user behavior (e.g., when the user actually eats breakfast, what does he eat for lunch, and when and how long does he exercise) .
  • Information on actual user behavior is entered by the user while interact g with the Behavior Monitoring routine 800.
  • the recorded data of actual behavior is processed by the Behavior Analyzer routine 560 that outputs information to the Behavioral Adaptation routine 570 that adjusts the Behavior Modification Program held in the BPGM. For example, if the user is not losing weight as expected at some particular caloric level, that level would be adjusted downward until the expected rate of weight loss is observed, while making sure not to go below the minimum healthy level of caloric intake.
  • the Behavior Analyzer provides screens of user feedback through the Behavior Feedback routine 1300.
  • the feedback to the user is designed to influence the user's behavior to comply with the selected goals. For example, a user who consistently skips breakfast will be reminded that doing so is counter to success, and will be assertively reminded to eat breakfast at appropriate times.
  • FIGURE 6 is a flowchart of the Behavioral Program Generator and Manager 510.
  • the BPGM functions both at the beginning of the program and throughout the duration of the program.
  • step 511 a test is made to determine whether the BPGM is beginning a program.
  • BPGM invokes Personalization 600 in step 512 which requests the user to provide values for critical personal data such as age . , height, weight and sex.
  • the list VW contains the indices (i) of those variables Vi stored in the User Database 600 that are to be personalized.
  • the list VE contains the indices (j) of those variables Vj stored in the Environment Database 1900 to be initialized.
  • Step 513 calls the Goal Setting routine 900 with parameter VO.
  • VO is the list of indices (j) of objective variables Vj for which goals are to be set.
  • the goals for variables Vj are recorded in the User Database with index VGoal(j).
  • VGoal(j) is a mapping function that defines the correspondence between a variable index (j) and the index of the variable containing the value of its goal.
  • Step 514 initializes all the events in the scheduler. Each event is characterized by parameters —
  • Type e.g., meal/exercise
  • the Behavior Scheduler 525 has the task of generating prompts based on the events in its event queue.
  • the BPGM When not used for personalization or other initialization functions, the BPGM is activated by the Time Manager 1600 any time there has been a change in a behavioral variable or at the beginning of each day.
  • step 515 the Behavior Adaptation routine 575 is invoked with argument 1. This signals the Behavior Adaptation routine that it was called from the BPGM.
  • the effect of Behavior Adaptation is to review all behavior variables. If there is any problem encountered, Behavior Adaptation may adjust one or more variables. It may also require a change of a goal by the user. Variables to be changed are set in a list RList.
  • step 516 tests whether RList is empty. If so, there is no further work to be done. Otherwise, execution continues at step 517, which sets the variable (i) to be the first element of the list RList. RList is reset to contain all but the first element.
  • the Goal Setting routine 900 is called for the variable Vi.
  • the Behavior Analyzer and Behavior Adaptation routines note that the user is at his weight goal by setting the index for the variable containing today's weight in the list RList. When the BPGM is next invoked, it will cause the Goal Setting routine to request a new goal weight from the user.
  • the Behavioral Guidance and Safeguards routine (BGS) 545 is responsible for: 1) providing the user with informed guidance related to his Behavioral Goals (e.g., recommended ideal weight based on user's sex, age, height, etc.); 2) enforcing any safety restrictions on the user's Behavioral Goals (e.g., don't allow a weight goal that is too low, or a rate of weight loss that is too rapid); 3) ensuring that any Behatri or Management program generated by the BPGM 510 follows sound medical and safety considerations (e.g., recommended food intake consists of sufficient daily calorie levels), and 4) informing the user when his behavior is unsafe (e.g., he is eating too much fat, or not enough calories) .
  • Behavioral Guidance and Safeguards routine (BGS) 545 is responsible for: 1) providing the user with informed guidance related to his Behavioral Goals (e.g., recommended ideal weight based on user's sex, age, height, etc.); 2) enfor
  • the BGS is primarily a collection of logic rules acting on information concerning medical and other safety considerations, stored in the Subject Matter Database 1100.
  • the BGS interacts with the Goal Setting routine 900 when that routine establishes user behavioral goals.
  • the BGS obtains information on user behavior from the Behavior Analyzer routine 560, and then gives warnings and suggestions to the Behavior Analyzer to pass on to the user via the Behavior Feedback routine 1300.
  • the Behavioral Guidance and Safeguards routine 545 invokes a set of logic rules or predicates of the form RP(i,C,x).
  • Each rule RP(i,C,x) is a rule for variable Vi in the User Database in the context C. This rule is used to evaluate whether the value for Vi is within acceptable limits.
  • X is the proposed value for the variable Vi.
  • Context C can be personalization, post-behavior, weekly, or another context.
  • the context parameter allows the possibility of multiple logic rules for any single variable, based on the various contexts or circumstances in which the variable is applied.
  • a rule (predicate) RP(i,C,x) can take into account values in the Subject Matter Database 1100, the User Database 700 and the Environment Database 1700.
  • a corresponding function RV(i,C,x) sets the range of acceptable values for each rule.
  • the rule RP(i,C,x) for an acceptable weight goal has the form RP(wg,Pers,X) where wg is the index of weight goal variable WGOAL, and Pers is personalization.
  • the rule RP(wg,Pers,X) is defined as follows:
  • RList RList, highwt(age,height) end
  • the first two lines of the definition of RV set RList to be a two item array in which the first item is the result of the function lowwt, which determines the lowest safe weight for a given age and height.
  • the second item in RList is highwt.
  • the predicate RP returns the value of True if X is both greater than or equal to the lowest weight (lowwt) and less than or equal to the highest weight (highwt) .
  • the Behavioral Adaptation routine 575 is responsible for adjusting the Behavior Management Program based on actual versus recommended behavior. For example, if the user is not losing weight at the desired rate, the Behavioral Adaptation routine can suggest to the BPGM either to reduce the average daily caloric intake being used for recommended meals, or to increase the recommended level of exercise. In a stress reduction application, the Behavioral Adaptation routine might instruct the BPGM to increase the amount of daily stress reduction activities recommended to the user during a particularly stressful period.
  • the Behavioral Adaptation routine also adjusts upcoming behavioral recommendations based on currently observed behavior (e.g., if the user eats a large lunch, then the recommended dinner will contain fewer calories than if the user had eaten a lunch at the recommended calorie level; or if the user exercises a lot one day, the recommended dinner for that evening could allocate some additional calories).
  • FIGURE 8 is the flowchart for the Behavioral Adaptation routine 575.
  • the Behavioral Adaptation routine can be called either by the BPGM or by the Behavior Analyzer 560. In the former case, the BPGM solicits a set of variables for which goals are to be set. In the latter case, behavior adaptation makes the adjustments itself. The cases are differentiated by the value of the parameter X which is 1 if called by BPGM, 0 if called by the Behavior Analyzer.
  • step 576 the variable L is set to be the list of all behavioral variables in the program. In the rest of . the routine, each variable's value will be examined with respect to its goal and its history, and appropriate action taken. Step 577 sets RList to empty. RList will be used to accumulate the output of Behavioral Adaptation. Step 578 tests to see if L is empty, which occurs when all variables originally set into L have been examined. When L is empty, the routine is done. Otherwise, execution continues at step 579, in which the variable (i) is given the value of the first item of L, which is the index of the next variable to be examined. L is then reset to be all but the first item in L.
  • step 580 the logic test BAD(i) analyzes the value of variable Vi.
  • the analysis can be a function of any or all variables in the User Database, the Environment Database and the Subject Matter Database.
  • a value of True means that the. value of the variable Vi is appropriate and that no action need be taken. In this case, execution continues at 578 to look for the next variable.
  • step 581 If the result of the analysis is False execution continues at 581, where the value of the parameter X is examined. If it is 0, meaning that the Behavioral Adaptation routine was called by the Behavior Analyzer 560, then the routine continues to step 582. Otherwise, it goes to step 583.
  • step 582 function BAA(i) is called to compute the Behavioral Adaptation adjustment for variable Vi which is then set into variable Vi.
  • step 583 RList has appended to it the index of the variable under consideration.
  • DTCAL which is the daily target of calories to be eaten. If dt is the index ("address") of DTCAL, then the definitions of BAD(dt) and BAA(dt) are as follows:
  • the Behavioral Adaptation routine obtains information on user behavior from the Behavior Analyzer 560 which in turn receives information from a variety of other routines.
  • the Behavior Analyzer 560 tracks data over time (time information is obtained from the Time Manager 1600), builds a user history within the User Database 700, and performs various analyses on these data.
  • the Behavior Analyzer provides support for the BPGM 510, Behavioral Adaptation routine 575, and the BGS 545 in evaluating user behavior, which is recorded by the Behavior Monitoring routine 800.
  • the Behavior Analyzer a) tracks user exercise and eating over the first few weeks of a weight reduction program in order to provide the BPGM 510 with a behavior baseline to utilize in its refinement of the Behavior Management Plan for the user; b) determines average daily caloric intake over a certain period of time to allow the BGS 545 to assess the soundness of the user's actual diet; c) tracks weekly weight to determine average weekly weight loss to allow the Behavioral Adaptation routine 575 to adjust the weight loss program as required to lose weight faster or slower; d) determines the user's daily meal choices so that the BPGM can recommend (via Behavioral Recommendations 1000) the favorite meals as the user's first choice for planning meals on the appropriate days.
  • the Behavior Analyzer also tracks and analyzes user behavior so that progress reports can be displayed to the Progress Reporting routine 1400.
  • the Behavior Analyzer maintains data on how the user is doing in relation to his own behavioral goals and the generic goals established by the Goal Setting routine 900 and the BPGM 510. For example, the Behavior Analyzer maintains data that shows: a) weight loss over time in relation to the user's target weight; b) average daily fat consumption in relation to a general goal of less than 30% of total calories from fat; c) average minutes of exercise per week in relation to a weekly exercise goal.
  • the Behavior Analyzer is central to the creation of feedback messages, as discussed earlier. There are several unique aspects to the feedback provided. Feedback is given at different times to accomplish different purposes: in the morning, feedback reminds the user of important behaviors that day; in the evening, feedback reviews the day's performance; weekly, the feedback provides a goal-oriented overview of the week's progress; and following each behavior, feedback provides immediate positive or negative reinforcement of the action just registered.
  • Another aspect is that feedback is enhanced by having the computer tailor the feedback messages to the user's current behavior and his behavior history. For example, if the user has a recorded history of consistently not eating breakfast and then one morning he records that he ate breakfast, the feedback message might be "It's great that you ate breakfast — try to eat it again tomorrow.” In contrast, if the user has eaten breakfast every morning for the past two weeks and did so today, then there may be no feedback message given because the habit of eating breakfast is well established and does not require constant reinforcing feedback. Thus, the messages are selected to be appropriate to the behavior and the user's history for that behavior.
  • the subject matter database has a variety of feedback message categories based on the feedback matrix 2000 shown in FIGURE 9.
  • the feedback matrix describes a way to characterize patterns of dichotomous behavior.
  • the rows of the matrix are captioned "Current Behavior” 2002 and represent the immediate behavior recorded by the user. This immediate behavior can be "good” meaning that the prompted behavior was recorded as being performed or "bad” meaning that the behavior was not performed or not performed as recommended.
  • the columns of the matrix are captioned "Behavior History” 2004 and refer to the user's history in performing the same behavior as is the "Current Behavior.”
  • the history of the behavior is categorized as being consistently good, intermittently good, or bad.
  • the six cells are named for their behavioral input.
  • Each message class corresponds to a group of similar messages in the Subject Matter Database that are appropriate for the current behavior in -the context of the user's behavior history.
  • FIGURE 9 also shows a message example for each category.
  • B is the behavior itself (e.g., eating breakfast);
  • TF is the time frame (e.g., "morning", “post behavior”, “weekly”) .
  • BT is the behavior type, a larger class which might include several behaviors (e.g., meals), and Feedback rules are based on all three of these parameters and have three components:
  • the criterion/trigger is the logical condition that is necessary to be satisfied in order to invoke the feedback message. It corresponds to the columns of FIGURE 9. It is typically a function of the current behavior, possibly in the context of other relevant variables.
  • the prior behavior is a logical condition based on history of the current behavior, possibly in the context of other relevant variables. If both the criterion and the prior behavior are true, then the system will produce a message chosen from a specified message class as was described above for FIGURE 9.
  • the behavior in question is daily weight entry.
  • W[0] being today's weight
  • W[l] yesterday's weight W[2] the day before yesterday, etc. If a weight is not entered for day i, the value of Wfi] is 0.
  • the feedback rules for the daily weight entry behavior for evening feedback are as follows:
  • the flowchart in FIGURE 10 describes the Behavior Analyzer 560.
  • Step 561 initializes variable (i) to 1.
  • the variable (i) will be used to step through the set of all rules for the behavior B of type BT in time frame TF. Also, the list FBLIST of message classes for feedback messages is set to empty or null.
  • the value of (i) is checked against the number (length) of rules for the current behavior B, type BT and time frame TF. If all rules are exhausted, execution resumes at step 566. Otherwise, execution proceeds to step 563.
  • step 563 the criterion part of the ith feedback rule for B, BT, TF is evaluated. If it is false, no further action is taken for this rule and execution goes to step 571. If the criterion is true, then step 564 evaluates the prior behavior part of the ith feedback for B, BT, TF. If it is false, then no further action is taken for this feedback rule and execution continues at 571. Otherwise, both the criterion and the prior behavior are true and execution moves to 565.
  • step 565 the message class (MClass) of the ith feedback rule is appended to the list FBLIST. Execution goes to step 571, where the variable (i) is increased by 1 to process the next rule, if any.
  • Step 566 initializes the " list MESSLIST to be NULL.
  • Step 567 tests whether the test FBLIST created in the first part of behavior analyzer is exhausted. If so, the Behavior Adaptation is called at 570 to check for any variables that may need to be changed. Finally, the system initiates Behavior Feedback routine 1300 and Behavior Analyzer is done.
  • the variable MC is set to the first item in FBLIST.
  • the function Choose (MC) generates a message from the class MC. Choose can use any number of algorithms. For instance, it can be random or it can be based on history of messages already delivered. The message generated by Choose is appended to the list MESSLIST.
  • the first item is dropped from the list FBLIST and execution returns to step 567.
  • the Behavior Scheduler routine 525 decides when to prompt the user for desired behavior (e.g., when to eat breakfast, when to exercise, when to weigh himself.
  • the Behavior Scheduler receives inputs from the BPGM, the Time Manager 1600, and the Behavior Planning routine 1500.
  • the Behavior Scheduler schedules behavior for specific dates, specific days of the week, or specific times of day, based on the user's particular schedule.
  • the Behavior Scheduler also effectively schedules behavior far in advance to allow the user to make plans based on recommended future behavior (e.g., meal planning and shopping lists) — which is coordinated with the Behavior Planning routine 1500.
  • the Behavior Scheduler provides data to the Behavior Prompting routine 1200 which in turn reminds and/or actively prompts the user to engage in scheduled behavior.
  • the Behavior Scheduler also provides information to the Behavior Feedback routine 1300 which gives the user feedback on his behavior.
  • Feedback is in two forms: scheduled and unscheduled. Scheduled feedback occurs at certain times of day, such as first thing in the morning or at the end of day. Unscheduled feedback occurs in connection with a particular behavior, and is triggered when the user records his behavior.
  • FIGURE 11 is a flow chart of the Behavior Scheduler routine 525.
  • the Time Manager 1600 calls this routine whenever the time of day and date (TOD) is greater than or equal to the time and date of next event.
  • a variable (i) is set to 1. This variable is used to index all events in the EventQueue.
  • the variable NextEvent is set to MAXTOD, a very large number. NextEvent will be *used to determine the earliest time for which a next event is to be initiated or terminated. It is used by the Time Manager 1600.
  • a comparison function 528 is performed that checks whether the TOD is greater or equal to the start time of the event.
  • the Start Time 529 function determines the starting time of an event in the EventQueue.
  • step 536 the NextEvent is updated if appropriate and the routine increments the variable (i) at step 538 and checks 530 whether the last (i) has been reached. If (i) equals length (EventQueue), then the Behavior Scheduler routine is completed. If (i) is not the last (i), then the routine returns to check the next event at step 528.
  • the logical compare yields a logical yes and passes the routine to a logical decision step 531 that asks whether the prompt for event (i) is active. If the prompt is active, then the routine proceeds to 537 to update the value of NextEvent, from which it increments (i) at 538 and closes the loop. If the prompt is inactive, then in step 532 the function Prompt(Event(i)) activates the prompt(s) for event (i). This function invokes the Behavior Prompting routine 1200. The next step 533, checks whether the prompt should be removed by invoking the EndTime function that determines the end of the period for the prompted activity. For example, meals are prompted to occur within a two and one-half hour period. When a meal event is set, the start time is set at 1/2 hour before mealtime and the end time is set at 2 hours after mealtime.
  • Step 534 calls UnPrompt to remove the prompt from the display using the Behavior Prompting routine 1200. Then the event (i) is removed from the event queue.
  • the Personalization routine 600 serves two major functions. First, it obtains personal data and preferences from the user that are used by the BMEX 500 to help the user achieve some behavioral goal or goals.
  • the personal data can include the user's name, sex, age, height, body build type, initial weight, normal activity level, food preferences, exercise preferences, normal times for eating meals, type of work, and whether or not he is a shift worker.
  • the Personalization routine obtains environmental information and preferences from the user that relate to the operation of the invention — for example, date, time, password for security, level of "hand-holding" desired, etc.
  • the personal data collected by the Personalization routine are stored in the User Database 700 for use by other system routines. Although the Personalization data can be changed by the user, they tend by definition to be fairly static, especially compared to data collected by Behavior Monitoring routine 800 or tracked and analyzed by the Behavior Analyzer 560.
  • the environmental data are stored in the Environmental Database 1900.
  • FIGURE 12 is a flowchart for the Personalization routine 600.
  • the routine is called with an argument P, being the list of variables to be personalized. Including this list is important since subsets of variables can be re-personalized during the operation of the BPGM 510.
  • the routine initially sets a list variable L to P in step 601. There is a set of Personalization variables Vi.
  • steps 602 through 604 the routine serially sets each variable Vi to a default value VDi obtained from the Subject Matter Database 1100.
  • the loop from 603 through 609 goes through the variables 41 in the list P and solicits values from the user. The user is prompted to enter the values for these Personalization variables by screens described below.
  • the screens are selected by the Personalization routine in step 608 by invoking the Show Screen (ShowScr) function. ShowScr(VSi) displays through the User Interface 1700, the screen VSi, which is the first in the sequence that solicits values for variable Vi. The user enters a value(s) in response to the screen as described below.
  • the validation function in step 609 checks that each value Vi entered by the user is within certain limits. If the validation function indicates that a variable is outside these limits, then the user is prompted to enter another value for that particular variable.
  • the Personalization routine checks whether the last variable (i) has been reached in step 606. If not, then the routine allows the user to enter additional information. Otherwise, the Personalization routine is completed and the User Database and Environment Database now have complete personal information on the user.
  • FIGURE 13 shows the validate function 620 executed by the Personalization routine 600.
  • Validate is used to validate the value of the variable Vi in the context C. Validate is used above in context "Personalization, " but can be used with other contexts in other routines.
  • the first step 621 of the validate function determines whether the entered value for Vi is within the bounds or limits for that variable set in the Subject Matter Database. If the value is outside the bounds or limits, then the function performs step 622 to show a screen (ShowScr) that presents a message that states the entered value is outside the limits. The message is selected from the library of messages in the Subject Matter Database. Then the validate function returns the value false 623, i.e., not "OK", to the calling function.
  • step 624 executes a logic test Val(Vi,C) which validates the value of variable Vi in the context C.
  • Val is an arbitrary predicate and can use any available information. For example, if Vi is height, Val (height, Pers) might check the validity of height as a function of age and sex. The logic test yields a true or false value. If the test is true, then the validate function indicates that the variable value is "OK" by returning the value true in step 627. If the logic test is false, then the validate function moves to step 625 that invokes the ShowScr function to present the user with a message that the value Vi entered is not valid. Once the message is displayed, the validate function returns control to the calling routine with a value of False.
  • the Time Manager 1600 maintains time, date, and day-of-week based on the real-time clock input.
  • the initial date and time are set by the user as part of Personalization 600, and may be changed by the user at any time (e.g., change in time zone) .
  • the Time Manager is used by several other routines to determine when a new day starts, based on knowledge of the user's wake-work-sleep cycle, and the current time and day-of-week. It handles relevant aspects of the user's life situation (e.g., shift work, and changes in work schedules).
  • FIGURE 14 illustrates the Time Manager 1600.
  • TOD is a number which reflects the current day, date and time. Any time TOD is referred to, it is expected to be the most current value.
  • the Time Manager runs all the time and constantly compares the current TOD with the time set in NextEvent.
  • NextEvent is the time for the next planned event in the EventQueue. This event can be a behavioral event, such as breakfast or exercise, or a "housekeeping" event, such as Beginning of Day.
  • the comparison at step 1601 continues until time equals or exceeds NextEvent. When this occurs, the Behavior Scheduler 525 is invoked to deal with the event.
  • the Behavior Scheduler resets NextEvent as appropriate.
  • the Behavior Monitoring routine 800 records user behavior using information entered through the User Interface 1700, and provides this data to the Behavior Analyzer 560.
  • the Behavior Monitoring routine records both scheduled behavior (e.g., eating meals, doing exercise, weighing oneself, taking some relaxation time) and unscheduled behavior (e.g., eating snacks, doing extra exercise, drinking water) .
  • the Behavior Monitoring routine operates in conjunction with the Behavior Scheduler 525 and the Behavioral Recommendations - routine 1000 to anticipate the user's behavior and, thus, select appropriate display screens that make it easy for the user to record when he has engaged in that behavior.
  • the Behavior Monitoring routine provides various alternatives through the user interface to allow the user to record such behavior.
  • FIGURE 15 is a flowchart of the Behavior Monitoring routine 800.
  • the user registers and records each occurrence of a monitored behavior.
  • the user selects a particular behavior B to record.
  • For each behavior there is a screen BS(B) that corresponds to that behavior and is displayed at step 802. That screen is displayed if the Behavior Scheduler prompted the user to perform the behavior or the screen may be selected by the user to record an unscheduled behavior.
  • the appropriate behavior screen prompts the user to enter the data needed to record the behavior. These data may include several variables.
  • Each behavior B corresponds to a set IB of variables Vi.
  • the routine collects the data entered by the user in response to the screens.
  • the information entered by the user is recorded as the variable values for the selected behavior.
  • step 803 the list L is set to the value IB, the set described above. If L is not empty 804, control passes to step 808 which chooses the first variable in the list.
  • the Behavior Monitoring routine applies a logic test 809 using Validate(Vi, B) routine that checks the entered data. For example, if the user erroneously enters that his weight changed by fifty pounds in a single day, then the logic test returns the value false. A false value causes a screen to be displayed to the user with message 810 indicating that the keyed data appears to be incorrect. For example, the message may state "Did your weight really change as much as fifty pounds since yesterday?" The routine returns the user to screen in step 802 to reenter the user's behavior. Once all of the variables have been entered and verified, the Behavior Monitoring routine finds that the list of variables L is empty 804 and checks 805 whether a prompt was displayed for the newly recorded behavior.
  • the Goal Setting routine 900 interacts with the user to establish one or more Behavioral Goals.
  • the Behavioral Guidance and Safeguards routine (545) provides information on target goals and allowable goals, as well as rates of achievement in order to help the user set appropriate goals.
  • the Goal Setting routine uses this information to suggest possible goals to the user (e.g., goal weight), suggest time frames for goal achievement (e.g., lose 15 pounds in 10 weeks), and disallow risky goals or rates of achievement (e.g., a weight goal that is too low or a loss rate that is too high) . If the user selects a long-range goal, the Goal Setting routine may suggest interim, short-term goals to optimize the chances of success.
  • Goal Setting 900 The flowchart for Goal Setting 900 is shown in FIGURE 16.
  • Goal setting is called with a parameter VO, the list of indices of variables for which goals are to be set.
  • Step 901 the temporary variable L is set to VO, the list of variable indices.
  • Step 902 tests if L is empty. If so, the task is complete. Otherwise, the variable i becomes the first item in L and L is truncated by 1 item, in step 903.
  • Step 904 tests whether the goal type of variable is "internal" or "external,” using the Gtype predicate. If it is internal, it is set automatically by the system. Step 905 does this by calling on the Behavior Guidance and Standards routine 545. Then, the BGS recommended value is used to set Vi. Flow returns to step 902 to look for the next item.
  • step 906 the screen VGi is displayed. This is the first screen in the sequence to solicit user input for the goal variable (i).
  • step 907 the entered value is validated. If it is found not to be valid, control is returned to step 906 to solicit the user to reenter the value. If valid, the new value is subjected to review by the Behavioral Guidance and Safeguards (BGS) 545 at step 908. Upon successful review, execution goes to step 902 to see if there are further items to process. Otherwise, if the BGS returns a false value, an error message is issued at step 909, and a new attempt to solicit user input is made by going to step 906.
  • BGS Behavioral Guidance and Safeguards
  • the Behavior Planning routine 1500 allows the user to plan ahead for behaviors they will perform in the future. It allows the user to indicate exactly what variations of future recommended behavior he plans to select (e.g., which of several possible meals he plans to eat tomorrow) .
  • the Behavior Planning routine offers a number of advantages. If the user has planned which meals he will select from a set of future recommendations, then the planned meals can be presented in such a way as to make selection and recording of the meals simple and quick. Also, meal planning allows the Behavior Planning routine to build a shopping list for the user to ensure he will have the necessary food on hand to prepare planned meals.
  • Behavior planning in weight loss can be meal planning or exercise planning. Advance meal planning i ⁇ considered by weight loss experts to be an important aspect of a total weight management program.
  • the objective is to create lists of meals for each day in the planning period, which can be up to 14 days. Creating a meal plan can be done either meal-by-meal or automatically. In the former case, the user selects a day and then a meal (e.g., lunch) for that day. He is then given a choice of all appropriate meal menus, and given the opportunity to examine the contents of each menu. Upon selection of a meal menu, that meal is recorded in an array for planning which is saved in the User Database 700.
  • the Behavior Planning routine takes the prior week (7 days) of meals and repeats them, meal for meal, day by day, for the next two weeks. This includes the possibility of planning restaurant meals as well as home meals. Automatic planning is especially convenient for a user who eats the same thing on the same day every week, e.g., pizza for dinner on Friday, roast chicken on Tuesday, etc.
  • An additional aspect of meal planning is the creation of a shopping list. This is also done by the Behavior Planning routine 1500.
  • a shopping list is created by examining all planned meals in turn. For each meal eaten at home, the menu is retrieved and analyzed. Each item on the menu is noted and the quantities are added to a global count for that item. In the case of items which are composed of other items, the global count is extended one step further. At the end, the user is presented with a list of all items used in all planned menus, with a cumulative total of the quantity required. In data processing terms, this is a classic "Bill of Materials Explosion.” While creation of a shopping list and meal planning functions are complex, they are straightforward for any competent programmer to implement. k. User Database
  • the User Database 700 stores personal data and preferences obtained through the Personalization routine 600 and historical data of behaviors recorded by the Behavior Monitoring routine 800 and the Behavior Analyzer 560.
  • the specific data collected and stored depends on the behaviors being managed and the particular behavioral goals, although certain data are likely common across most applications (e.g., sex, age, name).
  • the variables (short-term and long-term) in the User Database below are stored in the RAM 134 of the computer.
  • the short-term variables are maintained for the current day and the prior 14 days. Indices run from 0 to 14. Day 0 is today, day 1 is yesterday, and so forth.
  • WI Water interval index indicating most recent water interval in which drinking water was recorded
  • EX[l,i] is exercise type on day i
  • EX[2,i] is exercise calories day i
  • EX[3,i] is 1 if prompted else 0
  • EX[4,i] is exercise caloric target
  • EXFLAG Boolean Set to 1 if user exercised during baseline period and has not exercised since
  • EXCHTOG Boolean Determine whether meal recording using using calories or exchanges is permitted.
  • LW DIM(105) Weight LW[0] is initial weight.
  • NSHOP DIM(4) NSHOPli] is number of people to shop for meal i .
  • DAYTOG Boolean Meal is planned for current day BASE Total caloric expenditure during base period
  • the Environment Database 1900 stores information relating to the operation of the unit, including time, date, user interaction level, and personal identification number (PIN) .
  • the following items are stored in the Environment Database 1900.
  • the Subject Matter Database 1100 stores medical, scientific, nutritional and other relevant data related to the behaviors of interest for a particular application. For example, for a weight management application, the following information are stored: nutritional data for various foods; meal menus for nutritionally balanced breakfasts, lunches, and dinners; common food substitutions; a selection of "healthy” snacks; and the number of calories burned per unit time for different forms of exercise.
  • the items in the subject matter database are stored in the ROM 160 of the computer, as follows:
  • the tables described below contain the Food Database of the Subject Matter Database. The tables are described in relational terms.
  • This table shows the yield of a compound food's recipe.
  • This table is a list of equivalent food items.
  • This table contains a record for each unique food item used in the menus stored in the Subject Matter Database. It stores nutrient data used in analysis of the menus.
  • This table stores the Meal Type codes and their associated descriptions.
  • This table stores the basic unique data pertaining to each menu.
  • This table stores the Menu Sub-Type codes and their associated descriptions.
  • This table stores the Menu Type codes and their associated descriptions.
  • This table contains records of various shopping/grocery store food categories/aisles.
  • This table contains records used by the Food Item Table to determine the base unit amount of the food eaten. 1. Units Eaten Code
  • the Behavioral Recommendations routine 1000 makes specific recommendations for behavior to be engaged in by the user, and allows the user to make certain modifications to the recommendations prior to recording that behavior as completed.
  • the information generated by the Behavior Analyzer is used by the Behavioral Recommendations routine to select specific recommended behaviors (e.g., which set of lunch menus to suggest, which exercise should appear first in a list of recommended exercises) .
  • specific recommended behaviors e.g., which set of lunch menus to suggest, which exercise should appear first in a list of recommended exercises.
  • the user is presented with a recommendation, he is allowed to make modifications to it (e.g., substitute food items in a meal, change quantities of food in a menu, enter his lunch meal in terms of total calories rather than choosing one of a set of recommended menus).
  • the Behavioral Recommendations routine 1000 is best described verbally, this level of description is sufficient for a programmer of ordinary skill to reproduce it.
  • the context of the description will be for recommending and recording meals, but is easily generalized to other behaviors.
  • the user begins to record a meal either spontaneously or after being prompted by Behavior Prompting 1200. The recording is done via Behavior Monitoring 800.
  • the screen invoked in 802 of Behavior Monitoring can trigger Behavior Recommendations.
  • FIGURE 19 displays the first screen of a list of all the recommended meals of the chosen type and sub-type. On selecting a menu name, the actual menu FIGURE 21 is displayed.
  • the menu When the menu is displayed, it has been chosen to have the correct number of calories. This is determined by the BPGM 510 in conjunction with Behavior Adaptation 575, based on the Personalization variables and the behavior history stored in the User Database 700. The composition and proposed quantities of each menu vary as a function of the recommended calories.
  • the caloric content and percentage of calories from fat are displayed in a pop-up window FIGURE 22 and the user is given the choice of next actions in FIGURE 23.
  • the simplest choice is to record the meal directly, in which case the system returns to the main screen FIGURE 17.
  • the user can choose to substitute a food.
  • a user can alter the recommendations, but only within acceptable constraints.
  • the Subject Matter Database 1100 contains, in addition to complete information about menus and foods, a set of substitution or equivalence tables. These provide lists of foods which are nutritionally similar to each other. Each food in the system has a designated equivalence class which refers to these tables.
  • a substitution in FIGURE 23 When the user chooses a substitution in FIGURE 23, he is presented with a screen(s) FIGURE 24 of the items in the substitution list for the chosen food. The quantities in front of each food are adjusted to provide a portion with approximately the same number of calories as the original item in the menu. Once the user chooses an item, it is substituted into the original menu FIGURE 25.
  • FIGURE 26 displays the caloric content of the menu after the changes. From here the user returns to FIGURE 23 to make further changes or to record his meal with changes.
  • a second kind of change to the recommended meal is to alter the quantity of an item on the menu. This is done by selecting the item to change and then changing the quantity on the screen as shown in FIGURES 40 and 41. As before, this is replaced into the original menu and can be recorded from the screen in FIGURE 23.
  • the Behavior Feedback routine 1300 tells the user how he is doing, gives him reminders and encouragement, gives suggestions on how to improve, and provides information and educational material that will help them achieve his goals.
  • the Behavior Feedback routine operates in conjunction with the Behavioral Analyzer to determine which aspects of the user's behavior would benefit from feedback, and then the Behavior Scheduler determines when to give feedback.
  • Feedback messages are varied in form and content to keep the user's interest and to avoid repetition, as was discussed in detail earlier.
  • a library of messages is stored in the Subject Matter Database and categorized in the database by the type of message.
  • a message type is selected by the feedback routine, a particular message from the category for that selected type is presented to the user. By varying the messages, the user does not become bored with the feedback messages.
  • the Feedback routine 1300 itself is simply a presentation mechanism, using standard techniques to present information via the user interface 1700.
  • the Progress Reporting routine 1400 provides tables and graphs showing the user progress based on historical data stored in the User Database 700 and processed by the Behavior Analyzer 560. The user can at any time request to see tables and graphs showing his progress by invoking the Progress Reporting routine.
  • the Behavior Prompting routine 1200 gives users prompts for recommended behavior via the User Interface 1700. It is invoked by the Behavior Scheduler 1200. Prompts are repeated as necessary, possibly in varied forms, until the user responds as recommended.
  • the forms in which prompts occur include text, audio signals, and voice output. As with feedback and progress reporting, prompting is a straightforward presentation via the User Interface and is well within the ability of those with ordinary skill in the art.
  • the User Interface 1700 manages user input and output based on the available controls and display capability. It implements all interactions, including limited keys form of alphanumeric input, and handles pop up windows and audio signals. In addition, it provides an extensive context-sensitive user help facility.
  • the User Interface is described in more detail in patent application S.N. 07/ , entitled “A Simplified User Interface.”
  • the Input/Output devices 1800 are the particular interface hardware of the device.
  • the Input/Output hardware is a nine button keyboard and a liquid crystal display segregated into a prompt area and a text area. It is contemplated that Input/Output devices could also include push buttons, keyboards, display screens, touch-sensitive screens, pointing devices (e.g., mouses, trackballs) audio, video, graphics, control knobs, voice recognition, voice output, interfaces to sensors and transducers (e.g., scales, heart and pulse monitors, blood samples, CO,, levels, activity sensors, pedometers), IPC barcode readers, printers or communications links.
  • sensors and transducers e.g., scales, heart and pulse monitors, blood samples, CO,, levels, activity sensors, pedometers
  • IPC barcode readers printers or communications links.
  • the operation of the preferred embodiment of the weight control computer is best described in the context of a typical day of a user.
  • the user must first personalize the programming in the computer by keying in certain characteristics.
  • the user is prompted to begin entering the personalization information by a screen shown in FIGURE 27.
  • the computer invokes its Personalization routine 600 to begin a dialogue with the user to obtain the personal data necessary to tailor the program for the individual. For instance, the user's name is used in a number of feedback screens during the program. Sex, birth date, weight, height and activity level are used in the determination of base calories. Accordingly, screens to prompt the user to enter this information are presented to the user. These screens are shown in FIGURES 28 to 32.
  • the Personalization routine 600 verifies that information has been entered correctly as is shown in FIGURE 33.
  • the system's limited set of nine buttons is used for all user inputs. Since all interactions are either questions or choices, the user can respond appropriately to the computer's request with either Yes and No inputs or by moving the highlight and pressing Go On.
  • the user enters numerical information by repeatedly pressing the up/down keys 15 to change a number and by pressing the Go On/Go Back keys 16, 18 to move the cursor as seen in FIGURE 29.
  • FIGURE 34 A screen, FIGURE 34, is presented to the user to set or change his weight goal.
  • the computer queries the user regarding his current weight and desired weight, and possibly the amount of weight the user wants to lose short-term.
  • the system checks data provided against its database of allowable ranges. Other plausibility checks involving more complex rule-based reviews of related data are also performed. A user whose personal parameters are outside the bounds acceptable to the system will not be able to use it without strong warnings.
  • the computer can generate some goals itself.
  • the system proposes a goal and allows the user to modify it, within reasonable bounds as is shown in FIGURES 35 and 36.
  • Other personal data include mealtimes and snacking preferences, as these are the basis for daily prompting and feedback. Accordingly, screens are presented to the user requesting the user to confirm or enter his usual mealtimes, FIGURE 37, and whether he wants to include a snack as an additional meal, FIGURE 38.
  • Reasonable default values are provided for the user not wishing to enter his own values. In these cases, the user must still confirm use of the proposed default values.
  • the user's weight loss program is based upon reduced caloric intake and regular exercise. Promoting exercise requires knowledge of the user's exercise preferences and habits. The preferences are requested during the personalization dialogue. As shown in FIGURE 39, checkmarks (set with Yes and No) indicate those items which the user prefers to do. This information is used by the computer during the program to prompt and shape the user's behavior.
  • the user is returned to the main screen, FIGURE 17, that is generally the first screen presented to the user once the user has entered the personalization information.
  • the main screen is the "home base" for the program.
  • the computer automatically returns the user to this main screen after each interaction with the computer is completed. A user can always return to the main screen by pressing the Go Back key 18 one or more times or by turning the unit off and then on. On the main screen, the highlighted cursor will be either on the first item or on the item being prompted if any.
  • the user highlights the meal, i.e., breakfast, lunch, dinner or snack, to be eaten and presses the Go On button 16. This gives a choice of where the meal is to be eaten. If a meal had been planned, it can be chosen directly from the next screen. Having chosen a meal type, the user can choose from among a wide variety of menus. As shown in FIGURE 19, if the user selects home meals, he can choose meals that are Quick & Easy to prepare, more elaborate meals categorized under a Cookbook category, and Frozen Meals that correspond to commercially available frozen entrees.
  • the Subject Matter Database contains nearly 300 menus, each of which has variations to address the multiple caloric levels which may be required by the total universe of potential users. Even a single user will have varying caloric requirements over the typical period of use, including long-term weight maintenance, that must be taken into account by the computer in recommending the meal. Having chosen a menu, the user presses the GoOn button to have the menu actually displayed in the manner shown in FIGURE 21. The menu shown will be at the appropriate caloric level, taking into account the user's daily caloric requirement, meals already eaten and correct balance of calories by meal.
  • a further press of the GoOn button 16 reveals a window showing the caloric value of the menu, as is shown in FIGURE 22.
  • depressing the Go On button yet again presents the user with a screen asking if the meal should be recorded or if the user desires the computer to take further action before choosing to record it.
  • the user can alter his meal information before recording it. For example, as shown in FIGURE 24, the user substituted a wedge of watermelon for the banana. He can choose among nutritionally equivalent foods, for which the quantities have been adjusted to give a similar number of calories as the originally prescribed quantity of the original food. By choosing watermelon and pressing the Go On button, the watermelon is substituted into the current menu as is shown in FIGURE 25. Once the meal has been changed, e.g., by substituting a food, the caloric value of the new menu is displayed as is shown in FIGURE 26.
  • the screen presents the user with the option of changing a quantity which in turn allows the user to change the numerical amount, e.g., volume or mass, of the food to be eaten.
  • the menu is redisplayed to the user with the new quantity and subsequently its caloric value and percentage of calories from fat are displayed.
  • the user By choosing exercise from the main screen, the user goes to an exercise screen FIGURE 42 that displays the exercises previously chosen during the Personalization program, along with the minimal exercise times required to achieve the recommended caloric expenditure.
  • This minimal exercise period is calculated according to the caloric algorithm executed by the BPGM routine 510 and updated as needed by the Behavior Adaptation routine 575.
  • the BPGM sets the exercise expectations low to allow the user to supply a baseline of his usual frequency and duration of exercise. If the user desires to perform an exercise other than one of those selected in the personalization routine, he can choose other exercises by selecting an "other" menu option, which displays a complete list of other exercises. The selected other exercise can also be added permanently to the list of regular exercises by invoking a changing information option from the main screen.
  • the exercise related software routines e.g. BPGM 510 and BGS 545, monitor a user's exercise patterns and warn him of any changes which might be painful or dangerous. If the Behavioral Guidance and Safeguards (BGS) 545 routine determines that an unsafe or inadvisable exercise is to be performed, it in conjunction with the BPGM and the Behavioral Recommendation routine 1000, presents a caution message to the user such as is shown in FIGURE 43. Once the exercise is performed, the user can enter the actual exercise time, through the Behavior Monitoring routine 900, and receive feedback, through the Behavior Feedback routine 1300, on caloric expenditure in response to a screen such as shown in FIGURES 44 and 45.
  • BGS Behavioral Guidance and Safeguards
  • the Behavior Feedback routine After an activity, e.g., eating or exercise, is recorded, the Behavior Feedback routine provides behavioral feedback if appropriate.
  • the feedback is designed to reinforce positive actions and provide warnings for negative ones.
  • the feedback generally is in the form of messages selected by the Behavior Feedback routine from the Subject Matter database. An example of a feedback message is shown in FIGURE 46.
  • FIGURE 48 shows, when the weight control computer is first turned on, the user is presented with screens that show a set of reminders, based on his prior behavior. These reminder messages can be recalled by the user at any time by selecting the Bulletin Board option from the main menu.
  • the user can select a Bulletin Board option that displays a summary of the user's behavior today, as well as a summary of any outstanding feedback messages.
  • a Bulletin Board display is shown in FIGURES 47 and 48.
  • the Bulletin Board is part of Progress Reporting 1400, which queries the User Database 700.
  • a meal can be recorded by directly entering the number of calories eaten during the meal or by entering food exchanges.
  • Food exchanges is a system of reckoning nutritional value developed by the American Dietetic Association and American Diabetic Association. Food exchanges are included as an option because many people are familiar with them and have used them in other manual weight loss programs.
  • FIGURE 49 shows an example of the screen that allows a user to enter the number of calories eaten during a meal.
  • the user can call up screens that offer the option of planning meals for the future, up to 2 weeks ahead. This planning option is especially important to dieters because meal planning is a way to ensure that the correct foods will be available when needed.
  • FIGURE 50 a screen is presented that allows the user to create his own meal plan or that instructs the computer to automatically prepare a meal plan. Once the meal plan is created, the user can view screens that show the meal plan and then the user can record the meal plan in the computer.
  • a partial meal plan outline is shown in FIGURE 51 which shows that the user has already set up his plans for breakfast (B) and lunch (L) on Thursday, Dec. 20.
  • the same kind of dialogue takes place as when choosing a meal to record.
  • the user plans dinner for Dec. 20 by first selecting the dinner option from a screen.
  • the user interacts with the computer via a series of screens, such as shown in FIGURES 53 to 56, in which the user chooses to prepare a meal at home, that is somewhat elaborate, i.e., From the Cookbook, and is named Crispy Chicken.
  • a screen appears that shows the entire menu for the planned Thursday Dec. 20 dinner of Crispy Chicken.
  • the user can always choose not to eat this meal on the appointed day, or he can alter a meal he has planned at the time he records it.
  • FIGURES 57 and 58 Using the meal plan, one can instruct the computer to create a shopping list of all the items needed to prepare the home meals as shown in FIGURES 57 and 58.
  • the user can enter the number of people who will be eating the planned meals.
  • the shopping list is automatically prepared by the Behavioral Planning routine 1500 and presented to the user via a series of screens that groups the food items to be purchased by common shopping categories for ease of shopping.
  • FIGURES 59 through 65 show examples of the screens that present the shopping list. As the user purchases each item in the grocery store, he records the purchase in the computer which check marks the list.
  • FIGURE 66 is an example of the kinds of progress charts that can be obtained from Progress Reporting 1400. It illustrates the user's weight over the past several months. Similar charts are available for calories eaten and exercise calories.
  • the disclosed preferred embodiment is a weight control computer.
  • this embodiment of the invention has a broader application to diet and exercise control.
  • this embodiment can be applied to manage a low cholesterol diet, a diebetic's diet, and hypertension control diet.
  • the embodiment would have to be modified to address particular concerns of the diet, e.g., appropriate menues, display screens and feedback messages. Indeed, any diet and exercise regime can be managed using this embodiment of the invention.

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Abstract

Dans le mode préférentiel de réalisaton, un ordinateur (2) pouvant être tenu dans une main prépare et contrôle un programme d'un poids à atteindre, d'une alimentation et d'exercices. Des indicateurs audio (140) et visuels (5) informent l'utilisateur que le moment est venu de manger et de faire des exercices, et fournit des suggestions quant à ce qu'il doit manger. L'ordinateur (2) aide l'utilisateur à établir des objectifs réalisables en ce qui concerne le poids qu'il désire perdre et le temps nécessaire pour perdre ce poids. L'utilisateur suit le menu et les programmes d'exercices suggérés par l'ordinateur. L'ordinateur enregistre et analyse les programmes (800) de consommation d'aliments, d'exercices et de perte de poids suivis par l'utilisateur. Finalement, l'ordinateur affiche des informations en retour (1300, 1400) relatives aux progrès de l'utilisateur en vue d'atteindre le poids désiré.
PCT/US1992/000330 1991-01-11 1992-01-13 Procede et appareil de suivi d'un regime et du poids par des techniques de modification du comportement humain WO1992012490A1 (fr)

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Cited By (9)

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WO1994000831A1 (fr) * 1992-06-23 1994-01-06 Charles Borg Dispositif pour faciliter un changement de comportement
US5813026A (en) * 1994-08-31 1998-09-22 Charles Borg Portable electronic device for intermittently executing a program stored on transposable memory
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US5833466A (en) * 1992-06-23 1998-11-10 Borg; Charles Device to facilitate alternative response behavior
US5813026A (en) * 1994-08-31 1998-09-22 Charles Borg Portable electronic device for intermittently executing a program stored on transposable memory
US6656114B1 (en) 1998-11-30 2003-12-02 Novo Noadisk A/S Method and a system for assisting a user in a medical self treatment, said self treatment comprising a plurality of actions
US7282029B1 (en) 1998-11-30 2007-10-16 Novo Nordisk A/S Method and a system for assisting a user in a medical self treatment, said self treatment comprising a plurality of actions
EP1473655A1 (fr) * 2003-04-29 2004-11-03 Polar Electro Oy Méthode et instrument de gestion du poids chez l'homme
US7361141B2 (en) 2003-04-29 2008-04-22 Polar Electro Oy Method and device for weight management of humans
WO2005092175A1 (fr) * 2004-03-25 2005-10-06 Zbigniew Mlynarski Procede permettant de gerer des habitudes alimentaires ainsi que systeme et programme informatique asssocies
WO2005093633A3 (fr) * 2004-03-25 2006-05-04 Zbigniew Mlynarski Procede de prise en charge d'habitudes alimentaires et programme informatique associe
NL1035630C2 (nl) * 2008-06-26 2008-11-18 Dirk Jan Gerrit Kissing Digitale benchmark waarbij het persoonlijke voedingspatroon van een individu wordt vergeleken met de kenmerken, patronen en samenstelling van algemeen geaccepteerde voedingsdieten en het resultaat daarvan digitaal wordt vastgelegd in een database.
WO2010023593A1 (fr) * 2008-08-25 2010-03-04 Koninklijke Philips Electronics N.V. Procédé de gestion de poids
CN114168042A (zh) * 2021-08-31 2022-03-11 佛山市顺德区美的饮水机制造有限公司 成员显示方法、显示装置和电子设备

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